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THOMAS PHILIP MADAELIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1016
(314) 362-5460
Mailing address
510 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1016
(314) 362-5460

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT199111
PA
2085N0700X
Neuroradiology Physician
Primary
S0502
TX
2085R0202X
Diagnostic Radiology Physician
2016009664
MO

Other

Enumeration date
05/24/2011
Last updated
10/18/2022
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